These program metrics support your demonstrated excellence in care delivery. The High Performing Physicians program provides both the visibility to your practice’s referral patterns, and the tools to help you connect patients to in-network, affordable care options.
Encourages physicians to refer to the specialists identified as offering high-quality and cost-efficient care
Supports physicians prescribing Tier 1 and 2 pharmacy-preferred drugs, which help members save money because they are typically the lower-cost option
Facilitates physicians’ use of our preferred labs, which includes independent labs that have high standards for quality, service and affordability
Supports the use of independent or hospital-based imaging centers or physician groups whose magnetic resonance imaging (MRI) or computed tomography (CT) technical imaging service costs are lower than those of their peers
Assists in the identification of independent and hospital-based surgical centers whose costs for certain procedures are lower than those of their peers
These key measures serve as the gateway for our work together to make progress on our shared commitment of connecting patients to high-quality, cost-eﬃcient care. UnitedHealthcare Insights and Point of Care Assist enable improvement over time, with support from Network Engagement Managers to understand and take action on the data so you can continuously improve.